Active NPI
Pamela D Yukna, APRN
- Family Nurse Practitioner
- Waterbury, CT
National Provider Identifier
1619995099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 002953
- Practice address
- 56 Franklin St
Waterbury, CT 06706-1221 - Phone
- (203) 709-6000
- Fax
- (203) 709-3679
- NPI assigned
- Jul 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 002953 | CT | Primary |
Addresses
Primary practice location
56 Franklin St
Waterbury, CT 06706-1221
Mailing address
56 Franklin St
3Rd Floor
Waterbury, CT 06706-1221
Phone (203) 709-8873
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01407877 | Other | CT | COVENTRY/FIRST HEALTH |
| 0957742 | Other | CT | USA |
| 400002953CT01 | Other | CT | ANTHEM BCBS CT |
| 239322 | Other | CT | WELLCARE |
| P00456217 | Other | CT | RR MEDICARE |
| 004242939 | Medicaid | CT | |
| 20953 | Other | CT | CONNECTICARE |
| P3249497 | Other | CT | OXFORD |
| 7680674 | Other | CT | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002953 | CT | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405382400000",
"number": "1619995099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 FRANKLIN ST",
"address_2": "3RD FLOOR",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067061221",
"telephone_number": "203-709-8873",
"fax_number": "203-709-8689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56 FRANKLIN ST",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067061221",
"telephone_number": "203-709-6000",
"fax_number": "203-709-3679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YUKNA",
"first_name": "PAMELA",
"middle_name": "D",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2014-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "002953",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY/FIRST HEALTH",
"identifier": "01407877",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USA",
"identifier": "0957742",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS CT",
"identifier": "400002953CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "239322",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00456217",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004242939",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "20953",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P3249497",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7680674",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.